KEVIN J LIUDAHL MD, PC
NPI 1417098658
Specialist in Sioux City, IA

Active since February 09, 2007
2800 PIERCE ST, SUITE 101, SIOUX CITY, IA 51104(712) 224-8677(712) 277-1662 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin J Liudahl Md, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN J LIUDAHL MD, PC (NPI 1417098658) is a healthcare organization registered as a specialist in Sioux City, Iowa and active in the NPI registry since February 2007. The organization lists Kevin J Liudahl, President, as its authorized official.

NPPES Registry Identity

NPI1417098658
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKEVIN J LIUDAHL MD, PC
Location Address2800 PIERCE ST, SUITE 101Sioux City, IA 51104-3755
Mailing Address2800 Pierce St, Suite 101Sioux City, IA 51104-3755 · (712) 224-8677 · Fax (712) 277-1662
Fax(712) 277-1662
Organization SubpartNo
Authorized OfficialKevin J LiudahlPresident · (712) 224-8677
Enumeration DateFebruary 9, 2007
Last NPPES UpdateNovember 13, 2009
NPI 1417098658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IA · 25978
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2800 PIERCE ST, Sioux City, IA 51104

Other Identifiers 4

Medicaid0464826IA
Medicare NSC5796280001IA
Medicare ID-Type UnspecifiedI15532IA
Medicare UPINA03402IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
2800 PIERCE ST, STE 315
SIOUX CITY, IA 51104
Physical Therapist
2800 PIERCE ST
SIOUX CITY, IA 51104
Occupational Therapist
2800 PIERCE ST
SIOUX CITY, IA 51104
Physical Therapist
2800 PIERCE ST
SIOUX CITY, IA 51104
Specialist
2800 PIERCE ST, SUITE 101
SIOUX CITY, IA 51104
Surgery (Plastic and Reconstructive Surgery)
2800 PIERCE ST, SUITE, 406
SIOUX CITY, IA 51104
Occupational Therapist
2800 PIERCE ST
SIOUX CITY, IA 51104
Occupational Therapist
2800 PIERCE ST
SIOUX CITY, IA 51104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin J Liudahl MD, PC's NPI number?

The NPI number for Kevin J Liudahl MD, PC is 1417098658. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Kevin J Liudahl MD, PC located?

Kevin J Liudahl MD, PC is located at 2800 Pierce St Suite 101, Sioux City, IA 51104. The listed phone number is (712) 224-8677.

What is Kevin J Liudahl MD, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kevin J Liudahl MD, PC was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.